Denton Record-Chronicle (Denton, Tex.), Vol. 111, No. 8, Ed. 1 Sunday, August 10, 2014 Page: 7 of 40
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Denton Record-Chronicle
NATIONAL
Sunday, August 10, 2014
7A
Though deadly, Ebola threat needs context
By Connie Cass
Associated Press
WASHINGTON - The
United States’ top disease detec-
tive calls Ebola a “painful, dread-
ful, merciless virus.”
The World Health Organiza-
tion has declared the outbreak
in West Africa an international
emergency, killing more than
900 people and spreading.
That’s scary and serious. But
it also cries out for context.
AIDS alone takes more than
a million lives per year in Africa
— a thousand times the toll of
this Ebola outbreak so far.
Lung infections such as pneu-
monia are close behind as the No.
2 killer. Malaria and diarrhea
claim hundr eds of thousands of
African children each year.
In the United States, where
heart attacks and cancer are the
biggest killers, the risk of con-
tracting the Ebola virus is close
to zero.
Americans fretting about
their own health would be better
off focusing on getting a flu shot
this fall. Flu is blamed for about
24,000 U.S. deaths per year.
To put the Ebola threat in
perspective, here are some rea-
sons to be concerned about the
outbreak, and reasons not to
fear it:
Why it’s scary
There is no cure for Ebola
hemorrhagic fever.
More than half of people in-
fected in this outbreak have
died. Death rates in some past
outbreaks reached 90 percent.
It’s a cruel end that comes
within days. Patients gr ow fever-
ish and weak, suffering through
body aches, vomiting, diarrhea
and internal bleeding, some-
times bleeding from the nose
and ears.
The damage can spiral far
beyond the patients themselves.
Because it’s spread through
direct contact with the bodily
fluids of sick patients, Ebola
takes an especially harsh toll on
doctors and nurses, already in
short supply in areas of Africa
hit by the disease.
Outbreaks spark fear and
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Let us stop the spread
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EBOLA PREVENTION
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An image of Liberian President Ellen Johnson Sirleaf, left, appears on a public information
banner warning people about the Ebola virus Friday in Monrovia, Liberia.
panic.
Health workers and clinics
have come under attack from
residents, who sometimes
blame foreign doctors for the
deaths. People with from Ebola
or other illnesses may fear going
to a hospital, or maybe shunned
by friends and neighbors.
Two of the worst-hit coun-
tries — Liberia and Sien a Leone
— sent troops to quarantine ar-
eas with Ebola cases. The aim
was to stop the disease’s spread
but the action also created hard-
ship for many residents.
Where it is
The outbreak began in Guin-
ea in March before spreading to
neighboring Siena Leone and
Liberia A traveler recently car-
ried it farther, to Nigeria, leading
to a few cases in the giant city of
Lagos.
Ebola emerged in 1976. It has
been confirmed in 10 African
nations, but never before in the
region of West Africa.
Lack of experience with the
disease there has contributed to
its spread. So has a shortage of
medical personnel and supplies,
widespread poverty and political
instability.
Siena Leone still is recover-
ing from a decade of civil war in
which children were forced into
fighting. Liberia, originally
founded by freed American
slaves, also endured civil war in
the 1990s. Guinea is tryingto es-
tablish a young and fragile de-
mocracy.
Nigeria, Africa’s most popu-
lous country, boasts great oil
wealth but most of its people are
poor. The government is battling
Islamic militants in the north
who have killed thousands of
people and kidnapped more
than 200 schoolgirls in April.
This outbreak has proved
more difficult to control than
previous ones because the dis-
ease is crossing national borders
and is spreading in more urban
areas.
Tom Frieden, director of the
U.S. Centers for Disease Control
and Prevention, predicts that
within a few weeks, Ebola will
sicken more people than all pre-
vious occurrences combined. Al-
ready more than 1,700 cases
have been reported.
Global health officials say it
will take months to fully contain
the outbreak, even if all goes as
well as can be hoped.
Reasons not to be afraid
Ebola is devastating for those
it affects. But most people don’t
need to fear it. Why?
■ Ebola doesn’t spread easi-
ly, the way a cold virus or the flu
does. It is only spread by direct
contact with bodily fluids such
as blood, saliva, sweat and urine.
Family members have contract-
ed it by caring for their relatives
or handling an infected body as
part of burial practices. People
aren’t contagious until they
show symptoms, Frieden said.
Symptoms may not appear until
21 days after exposure.
“People should not be afraid
of casual exposure on a subway
or an airplane,” said Dr. Robert
Black, professor of international
health at Johns Hopkins Uni-
versity.
■ Health officials around the
developed world know how to
stop Ebola. Frieden described
tried-and-true measures: find
and isolate all possible patients,
track down people they may
have exposed and ensure strict
infection-control procedures
while caring for patients. Every
past outbreak of Ebola has been
brought under control.
The CDC is sending at least
50 staff members to West Africa
to help fight the disease, while
more than 200 work on the
problem from the agency’s
headquarters in Atlanta. The
WHO is urging nations world-
wide to send money and re-
sources to help.
■ It’s true that Ebola could
be carried into the United States
by a traveler, possibly putting
family members or health care
workers at risk. It’s never hap-
pened before. But if the disease
does show up in the U.S., Frie-
den said, doctors and hospitals
know how to contain it quickly.
“We are confident that a lar ge
Ebola outbreak in the United
States will not occur,” Frieden
told a congressional hearing
Thursday.
Other things to worry about
Ebola’s toll is minuscule
compared with other diseases
that killing millions of people.
“The difference is the diseas-
es that do kill a lot of people —
malaria, diarrhea, pneumonia
— they cause their problems
over time,” Black said. “They’re
not generally epidemic. They’re
not the kind of sudden burst of
disease and death that creates
fear like this.”
The common diseases have
far lower mortality rates. They
kill so many people because such
huge numbers are infected.
In comparison, Ebola is
manageable.
“The order of magnitude of
the resources to control Ebola in
small communities in three or
four countries is very small com-
pared to controlling malaria in
all of Asia and Africa,” Black
said. “I don’t at all think we
should hold back on the resourc-
es to contr ol Ebola, but we need
more resources to control these
major killers of children and
adults that we re making too lit-
tle effort against.”
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Parks, Scott K. Denton Record-Chronicle (Denton, Tex.), Vol. 111, No. 8, Ed. 1 Sunday, August 10, 2014, newspaper, August 10, 2014; Denton, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1124719/m1/7/: accessed July 9, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; .